Evaluation of anesthesia management in laparoscopic radical prostatectomy surgeries: A retrospective clinical study
Muharrem Ucar, Mukadder Sanli
Inonu University Faculty of Medicine, Department of Anesthesiology and Reanimation, Malatya, Turkey
Aim: Laparoscopic radical prostatectomy (LRP) provides effectively results on surgical, oncological and functional in patients with localized prostate cancer. LRP that has a rapid recovery, returning to normal life activities in a short time affects the quality of life positively. Furthermore mandatory of general anesthesia and specific patient position, long operation time and increased intra-abdominal pressure caused by the pneumoperitoneum leads the anesthesia management difficult. In this retrospective study, our purpose was to present the anesthesia method applied in LRP.
Material and Methods: The patients, who underwent LRP between January 2016 and December 2018, were included in the study. The data were collected from patient files and anesthesia records. The ages, ASA, the agents used for induction and maintain anesthesia, duration of operation, amount of bleeding, postoperative analgesic application, IV infusion fluids, and invasive interventions provided on the patients were recorded.
Results: The analyses of results of 27 patents were made in the present study. The average age of the patients who underwent LRP operation was 63.78±6.17. Five (18.5%) of them were ASA I; 14(51.9%) were ASA II, 8 (29.6%) were ASA III. Propofol or thiopental was used in anesthesia induction. Anesthesia was ensured with sevoflurane or desflurane. In the invasive interventions, central venous catheter, intra-arterial catheterization and lumbar epidural catheter were used. IV fluid infusion management was carried out with crystalloids or crystalloid and colloid combination. The postoperative analgesic management of a total of 19 (70.4%) patients was ensured epidural patient-controlled analgesics with morphine. 8 patients (29.6%) also were ensured with IV patient controlled analgesia with morphine.
Conclusion: During laparoscopic prostatectomy detailed hemodynamic and perioperative monitoring should be ensured in anesthesia management since the surgical intervention has high risk.